| NPI | 1821347535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3493) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2022-05-02 |