| NPI | 1144685371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11809-MH-CC) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2022-07-07 |