| NPI | 1730632506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC 11931) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC 11931) |
| 103T00000X Psychologist (Licence: NC 5371) | |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2023-07-28 |