| NPI | 1801010749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S4020) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4020) |
| 101YP2500X Counselor, Professional (Licence: NC S4020) | |
| 101YP2500X Counselor, Professional (Licence: NC 4020) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-11-26 |