| NPI | 1336863711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2023005084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO pending) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2023-02-14 |