| NPI | 1891847760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 2308) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2308) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-04-24 |