| NPI | 1235791237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 0101998) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 7053) |
| 101YM0800X Counselor, Mental Health (Licence: GA 0101998) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-09-11 |