| NPI | 1689180812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI0330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP7328) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2019-05-10 |