| NPI | 1609346006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30526) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC20247) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-02-20 |