| NPI | 1700203080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10605) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A10605) |
| 101YP2500X Counselor, Professional (Licence: NC 10605) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2019-02-20 |