| NPI | 1366118804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LC14120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP11774) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-06-26 |