| NPI | 1003500471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A20292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023023586) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-07-18 |