| NPI | 1477320778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A19307) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 643130) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |