| NPI | 1659489375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 4904) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 4904) |
| 101YP2500X Counselor Professional (Licence: NC 4904) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-12-18 |