| NPI | 1891079331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 8634820-6004) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2021-02-16 |