| NPI | 1093362139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6713) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC011630) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-09-22 |