| NPI | 1184222796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9406) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10001235) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2024-08-21 |