| NPI | 1306364674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6981-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3252) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2021-03-29 |