| NPI | 1053718742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013008259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013008259) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2024-03-21 |