| NPI | 1366849879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4644) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2024-01-31 |