| NPI | 1225635899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 2616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10001361) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2024-01-16 |