| NPI | 1740673649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 077116) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2019-01-30 |