| NPI | 1447625488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC-MH30573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1123) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2024-03-08 |