| NPI | 1750781811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0013202) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO NLC.0104692) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-08-18 |