| NPI | 1710390224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9447) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 9447) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2020-04-10 |