| NPI | 1821405952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 10908) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-10-26 |