| NPI | 1730953605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC-7034) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7034) |
| 225C00000X Rehabilitation Counselor (Licence: ID 340617) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |