| NPI | 1194543082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ID 7641) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UT 14109542-6004) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-10-10 |