| NPI | 1942485164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 7520) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional (Licence: NC 7520) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-01-11 |