| NPI | 1720570864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A7774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A7774) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-05-25 |