| NPI | 1942540059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-5189) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2020-08-18 |