| NPI | 1285215905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2020043292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013022739) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-02-02 |