| NPI | 1821238544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4788) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 7941) |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2020-05-04 |