| NPI | 1093350027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019045706) |
| 101YM0800X Counselor, Mental Health (Licence: KY 240312) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2023-10-06 |