| NPI | 1184070195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 006285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12182) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2021-04-22 |