| NPI | 1407475981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15612) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15612) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2023-11-02 |