| NPI | 1275147712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-PCLC-LIC-31712) |
| 101YM0800X Counselor, Mental Health (Licence: UT 11150725-6009) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-04-18 |