| NPI | 1063868412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12277) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 12277) |
| 101YM0800X Counselor, Mental Health (Licence: SC 7218) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2021-05-13 |