| NPI | 1922364843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9879) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A9879) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-05-31 |