| NPI | 1952452427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P114574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010457) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2022-05-25 |