| NPI | 1184187189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 11297) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 11297) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2021-03-05 |