| NPI | 1831414994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S7802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 7802) |
| 101YP2500X Counselor, Professional (Licence: NC 7802) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-02-09 |