| NPI | 1841604279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11024) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4955) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-04-09 |