| NPI | 1033727375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC04778) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3552A) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2022-11-12 |