| NPI | 1639649882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IA 093919) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 093919) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2024-03-20 |