| NPI | 1326580382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 2483) |
| 101YM0800X Counselor, Mental Health (Licence: MA 11694-MH-CC) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-11-11 |