| NPI | 1598364218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 7636) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 7636) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2023-10-22 |