| NPI | 1922349588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9810) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A8910) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2019-01-18 |