| NPI | 1831442227 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 0000010358)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0172531)  | 
| Enumeration Date | 2012-10-22 | 
| Last Update Date | 2017-11-20 |