| NPI | 1184140584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7208) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 720408916) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-01-06 |