| NPI | 1558124966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AL AL04785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL AL04785) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |