| NPI | 1194253294 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7073)  | 
| 101YP2500X Counselor, Professional (Licence: LA 7073)  | |
| Enumeration Date | 2017-06-01 | 
| Last Update Date | 2022-10-31 |