| NPI | 1205478468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019250) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.014114) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-01-18 |