| NPI | 1154919439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16238) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-08-23 |