| NPI | 1255727269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2018013607) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2024-07-02 |