| NPI | 1720521073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 7273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLPC7273) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2020-01-04 |