| NPI | 1144736349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0016988) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11356) |
| 101YM0800X Counselor, Mental Health (Licence: NE 5573) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2021-06-24 |