| NPI | 1811222680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3685) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-4435) | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2018-10-10 |