| NPI | 1114559481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 20182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 083869) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |