| NPI | 1427566801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 18304) |
| 101YM0800X Counselor, Mental Health (Licence: CA 6128) | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2024-05-14 |