| NPI | 1740565605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 15225) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2018-10-08 |