| NPI | 1164769824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 70248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 0139571) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-01-17 |