| NPI | 1366924250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-SWLC-LIC-38990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801102705) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-12-20 |