| NPI | 1225702061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00396700) |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC5972) | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-03-21 |