| NPI | 1003528936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 18901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 111134) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-11-13 |