| NPI | 1740967389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 214517) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22170) |
| Enumeration Date | 2023-07-04 |
| Last Update Date | 2023-10-30 |