| NPI | 1265068571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8503) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 8503) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2024-02-07 |