| NPI | 1720339922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A9385) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A9385) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2013-06-13 |