| NPI | 1477003697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12586) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A12586) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-08-26 |