| NPI | 1265933220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13618) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13618) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-03-26 |