| NPI | 1245960459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 5967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11414) |
| 101YP2500X Counselor, Professional (Licence: NE 2818) | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-03-16 |