| NPI | 1851772156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0014713) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10544) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2018-07-18 |