| NPI | 1790219228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 710) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 1170) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |