| NPI | 1952075392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 177718) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC7204) |
| 101YP2500X Counselor, Professional | |
| 101YM0800X Counselor, Mental Health (Licence: NC A16503) | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-08 |