| NPI | 1689232589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11876) |
| 101YP2500X Counselor, Professional (Licence: NE 2663) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-06-25 |