| NPI | 1518581040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LC13088) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP10218) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2022-10-18 |