| NPI | 1013544212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NH 1198) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 2124) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2022-06-10 |