| NPI | 1174278931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61406923) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 012137) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2023-05-09 |