| NPI | 1104343516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12595) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12595) |
| 225C00000X Rehabilitation Counselor (Licence: NC 00211991) | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-02-14 |