| NPI | 1750788303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC-MH2108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2108) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-12-03 |