| NPI | 1417566852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 10663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 5139) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-03-01 |