| NPI | 1871644229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15984) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2001033815) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2023-01-24 |