| NPI | 1376190173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: ME XL5078) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ME CC6219) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-02-02 |