| NPI | 1801380977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 278864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 278864) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-10-15 |