| NPI | 1891294617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK 165887) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YP2500X Counselor Professional (Licence: AK 165887) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2023-01-25 |