| NPI | 1609420249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0016684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015373) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-03-06 |