| NPI | 1841535077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 12250) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 006302) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2021-10-13 |