| NPI | 1295595635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 20376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 10025-125) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-08-27 |