| NPI | 1699126805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0013127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC008176) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-02-18 |