| NPI | 1639679657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5428) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-07-22 |