| NPI | 1326663048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15432) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6905) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-05-03 |