| NPI | 1225704232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LC13991) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11678) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-03-28 |