| NPI | 1164828992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 23272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 085495) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2024-09-17 |