| NPI | 1780786111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2735) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2005036981) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-12-17 |