| NPI | 1154701514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9256) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2023-11-02 |