| NPI | 1790297208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13277) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13277) |
| 101YP2500X Counselor, Professional (Licence: NC 13277) | |
| 101YP2500X Counselor, Professional (Licence: NC A13277) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-05-03 |