| NPI | 1962693838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017044443) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A0707054) |
| 101YP2500X Counselor, Professional (Licence: AR P0907038) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-02-21 |