| NPI | 1952916835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD LPC20913) |
| 101YM0800X Counselor, Mental Health (Licence: IA 100418) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2024-10-30 |