| NPI | 1932412616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 7932) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC S7932) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2022-08-11 |