| NPI | 1043675275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S15220) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6208) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-12-14 |