| NPI | 1558095984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17742) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 597178) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |