| NPI | 1861589368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 2482) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 1976) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-08-01 |