| NPI | 1629458187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11214) |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2024-11-07 |