| NPI | 1023714979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0135140) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-08-24 |