| NPI | 1669838140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 12015) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 12015) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2024-06-15 |