| NPI | 1346808037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 091756) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IA 91756) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-02-16 |