| NPI | 1558983494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 9486) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 013650) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-03-18 |