| NPI | 1902123151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S3635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3635) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2023-03-14 |