| NPI | 1134809411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS P-0935) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS P-0935) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-09-23 |