| NPI | 1023553237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0015221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015053) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2024-02-07 |