| NPI | 1023495124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 3013) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-03-06 |