| NPI | 1710359138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 008834067) |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2020-08-04 |