| NPI | 1467190629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD 30779) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SD 20693) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-02-23 |