| NPI | 1295480093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14321) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2023-12-19 |