| NPI | 1396977070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 0795) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-06-03 |