| NPI | 1598207953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 12635) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 12635) |
| 101YP2500X Counselor Professional (Licence: NC A12635) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2023-06-20 |