| NPI | 1801510722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8598) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA PLPC8598) |
| 101YM0800X Counselor, Mental Health (Licence: LA PLC8598) | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2023-11-20 |