| NPI | 1750757993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MT 7333) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 7333) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2021-04-29 |