| NPI | 1124553565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2437) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3000) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-08-11 |