| NPI | 1205414638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-747) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6650) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2022-10-26 |