| NPI | 1184324212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 202312476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 16220) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-10-30 |