| NPI | 1912789660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2022011342) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: 297566) |
| 101YS0200X Counselor School (Licence: MO 339799) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-05-01 |