| NPI | 1346848454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 10054-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4771-226) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2022-09-06 |