| NPI | 1063085033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7664) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7155) |
| 101YM0800X Counselor, Mental Health (Licence: OR R7122) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-08-27 |