| NPI | 1184272973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10130-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4889-226) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2022-11-19 |