| NPI | 1417561481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15849) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 15849) |
| 225C00000X Rehabilitation Counselor (Licence: 424826) | |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2024-04-29 |