| NPI | 1699096164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 3960) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-06-06 |