| NPI | 1649648338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 6390) |
| 101YP2500X Counselor, Professional (Licence: LA 6390) | |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2023-06-25 |