| NPI | 1033954201 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A2406012) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A2406012) |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-01-23 |