| NPI | 1275289258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3599A) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2024-01-29 |