| NPI | 1750625323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0011248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC009151) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2024-02-09 |