| NPI | 1932520467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2012038894) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2012038894) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2024-05-24 |