| NPI | 1609437383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH-19176) |
| 101YM0800X Counselor Mental Health (Licence: AK 184786) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-03-05 |