| NPI | 1104391408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 12483724-6004) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2023-06-13 |