| NPI | 1770062739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 005730) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CT 5730) |
| 101YM0800X Counselor Mental Health (Licence: TX 73859) | |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2024-02-28 |