| NPI | 1861779548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFT.0001237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CO ACD.0001072) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2019-07-10 |