| NPI | 1780928838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 8246) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC S8246) |
| 101Y00000X Counselor (Licence: NC 8246) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-05-16 |