| NPI | 1194495804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 43605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY 1385) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |