| NPI | 1023503828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13797) |
| 101YP2500X Counselor, Professional (Licence: NC A13797) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-04-03 |