| NPI | 1306503081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0018204) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0018036) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2022-06-08 |