| NPI | 1790150969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5781) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2017-05-11 |