| NPI | 1962516146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-000312) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000312) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2017-08-08 |