| NPI | 1750893392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: LA 6118) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-06-26 |