| NPI | 1871831164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 38687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9863) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2019-08-13 |