| NPI | 1912275405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 372600000X Adult Companion | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2019-10-01 |