| NPI | 1255950549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 12740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12740) |
| 101YP2500X Counselor, Professional (Licence: NC 12740) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2023-12-18 |