| NPI | 1346013067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW.09930891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009924724) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-09-24 |