| NPI | 1982915526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO 0014529) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2018-07-30 |