| NPI | 1578062501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 089284) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2022-07-01 |