| NPI | 1932759677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DE PC-0011050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 9542) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2023-04-26 |