| NPI | 1851596928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 3199) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-01-18 |