| NPI | 1689059289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ 14154) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6823) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2018-04-13 |