| NPI | 1770094229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1834) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-08-02 |