| NPI | 1992130033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC7193) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2019-02-11 |