| NPI | 1558148064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 8063) |
| 101YM0800X Counselor Mental Health (Licence: SC 8063) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |