| NPI | 1053031039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16213) |
| 101YM0800X Counselor, Mental Health (Licence: NC 16213) | |
| 101YP2500X Counselor, Professional (Licence: NC A16213) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-02-15 |