| NPI | 1790235695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0015207) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0015207) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2019-02-18 |