| NPI | 1306692637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2021043729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03588) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |