| NPI | 1033782743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 12387) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0017314) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |