| NPI | 1619530383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A13802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14769) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-02-12 |