| NPI | 1942433636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CCMH0096261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM 0096261) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-09-24 |