| NPI | 1932650785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL G524300767460) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |