| NPI | 1033689021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 097088) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.003748) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2024-07-17 |