| NPI | 1417422429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2017023777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2017023777) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2024-04-02 |