| NPI | 1407370109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MS 2965) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS PH3532) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-06-27 |