| NPI | 1942779061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A14447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2019-09-13 |