| NPI | 1245002260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO UNLICENSED) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: UNLICENSED) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |