| NPI | 1679041032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC11024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC11024) |
| 101YP1600X Counselor, Pastoral (Licence: MD LGP9104) | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2022-02-05 |