| NPI | 1932465085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 1516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3957) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2020-07-14 |