| NPI | 1346662467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 18521) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2021-02-01 |