| NPI | 1780732321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 18106) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 103604) |
| 101YM0800X Counselor, Mental Health (Licence: NC 18106) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-02-16 |