| NPI | 1992542955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16945) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 510832) |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-07-15 |