| NPI | 1083284707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SW041915059) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV BP00945952) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-11-02 |