| NPI | 1801217641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0021823) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CO 0021823) | |
| 101YP2500X Counselor, Professional (Licence: KS 3432) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2025-02-11 |