| NPI | 1992963797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11310) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC005678) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2023-05-25 |