| NPI | 1568165785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A18550) |
| 101YP2500X Counselor, Professional (Licence: NC A18550) | |
| 101Y00000X Counselor (Licence: NC A18550) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-11-13 |