| NPI | 1003439225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LCMHCA) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7336) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-07-12 |