| NPI | 1346860053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61018187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ NJDCATEMP011328) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |