| NPI | 1235643917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-885) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017922) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-01-25 |