| NPI | 1972619856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 000227) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-10-04 |