| NPI | 1689097701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10549) |
| 101YP2500X Counselor, Professional (Licence: SC 7645) | |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2021-12-01 |