| NPI | 1942351515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 7949) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6821) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2021-10-13 |