| NPI | 1295225308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC20628) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CMH0192171) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2021-01-21 |