| NPI | 1013427020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017044144) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-01-15 |