| NPI | 1700139151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 240497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: IL 178.011013) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2018-03-28 |