| NPI | 1740658376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11709) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 11709) |
| 101YM0800X Counselor, Mental Health (Licence: NC 11709) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-12-27 |