| NPI | 1043040983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0022372) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 022372) |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |