| NPI | 1356063614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0006368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5978-125) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-08-14 |