| NPI | 1033754551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 7527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7527) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-08-08 |