| NPI | 1720238306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 287755) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37002992A) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2024-04-24 |