| NPI | 1063989986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A14435) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-01-25 |