| NPI | 1396381646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME XL5336) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701012547) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-08-15 |