| NPI | 1679912752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 492) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 160321) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2018-03-26 |