| NPI | 1770950677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6811) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: ID 6811) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2021-03-12 |