| NPI | 1730633652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 7198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006681) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-10-31 |