| NPI | 1306362090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 13256) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2024-12-30 |