| NPI | 1750972832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL C3656A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL c3656a) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-11-07 |