| NPI | 1861995433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1025) |
| 101YP2500X Counselor, Professional (Licence: NE 2478) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-04-25 |