| NPI | 1740628783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A8045) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8045) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-03-18 |