| NPI | 1952844268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0015552) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 0014995) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2020-09-29 |