| NPI | 1033899810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC11941) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |