| NPI | 1285111633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6106) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.011518) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2022-10-11 |