| NPI | 1952800492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015907) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015701) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2020-01-27 |