| NPI | 1144742321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC0013785) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO ACD0000836) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2024-01-08 |