| NPI | 1134853880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 101YM0800X) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2022-07-10 |