| NPI | 1235844143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A18402) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A18402) |
| 101YP2500X Counselor, Professional (Licence: NC A18402) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-03-14 |