| NPI | 1831454719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14299) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701005447) | |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2017-03-01 |