| NPI | 1912444886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9370) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ 15156) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2024-08-23 |