| NPI | 1760612576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0006543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 6543) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2022-08-25 |