| NPI | 1285377119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A17222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7728) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |