| NPI | 1841900511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 118107) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 118107) |
| 101YM0800X Counselor, Mental Health (Licence: IA 251S00000X) | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-01-20 |