| NPI | 1548793581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA LPC6733) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA LPC6733) |
| 101YM0800X Counselor, Mental Health (Licence: LA LPC6733) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-10-21 |