| NPI | 1982231965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC04646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AL 04646) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-11-01 |