| NPI | 1861767311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5607) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7129) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-07-31 |