| NPI | 1376122754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC13688) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP11267) |
| 101YM0800X Counselor Mental Health (Licence: MD LC13688) | |
| 101YM0800X Counselor Mental Health (Licence: MD LGP11267) | |
| 101YP2500X Counselor Professional (Licence: MD LGP11267) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2023-04-29 |