| NPI | 1942773635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 18673) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16031) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-04-13 |