| NPI | 1639603095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12477) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 12447) |
| 101YM0800X Counselor, Mental Health (Licence: NC A12477) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-08-28 |