| NPI | 1861829087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6514) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 6514) |
| 101YM0800X Counselor, Mental Health (Licence: SC 6514) | |
| 101YM0800X Counselor, Mental Health (Licence: SC 5707) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-03-11 |