| NPI | 1225527484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 30264) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 18709) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2020-04-24 |