| NPI | 1962074708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL 4447) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IN 39001912A) |
| 101YP2500X Counselor Professional (Licence: GA LPC012331) | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-09-20 |