| NPI | 1366912388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2013044754) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2024-12-23 |