| NPI | 1639537947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3592) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 2906) |
| 101YP2500X Counselor, Professional (Licence: AK 278) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2024-06-21 |