| NPI | 1891965968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: UT 5734143-6009) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 1540) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2021-12-13 |