| NPI | 1417649914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0020816) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |