| NPI | 1508255100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 18327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701010918) |
| 101YP2500X Counselor, Professional (Licence: MO 2015026275) | |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2023-06-27 |