| NPI | 1376264184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8046) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 8046) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-23 |