| NPI | 1972201747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2408025) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: AR 112061) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-10-10 |