| NPI | 1982031290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4278) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2021-12-02 |