| NPI | 1932630522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR Non-Licensed CSWA) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 35928) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-04-07 |