| NPI | 1962843094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10270) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2018-05-02 |