| NPI | 1205409620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7738) |
| 101YM0800X Counselor, Mental Health (Licence: FL 18403) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-09-07 |