| NPI | 1225724404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 075057) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IA 118884) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |