| NPI | 1952694937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2016044556) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KS 2493) |
| 101YM0800X Counselor Mental Health (Licence: IN 39002761A) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2017-01-20 |