| NPI | 1710760509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19038) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 642059) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |