| NPI | 1679931612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11996) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 11996) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2022-03-07 |