| NPI | 1013677178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 10165) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-08-30 |