| NPI | 1558960484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7659) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6965) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-03-01 |