| NPI | 1548862105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC15473) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PCR20001956) |
| 101YP2500X Counselor, Professional (Licence: MD LC15473) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2025-03-29 |