| NPI | 1356087761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AL 3764) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AL 3467) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |