| NPI | 1073125605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID LPC-7822) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LPC-7822) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-11-02 |