| NPI | 1265041438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15894) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-09-28 |