| NPI | 1760975098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 262904) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003278A) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-05-29 |