| NPI | 1942848221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC05022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 3251) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-08-21 |