| NPI | 1316412067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6267) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5500) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2021-07-12 |