| NPI | 1760797054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 5779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC0005779) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2019-10-23 |