| NPI | 1346867421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10213-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 4669-226) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-01-04 |