| NPI | 1710755905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19389) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 655850) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2023-12-18 |