| NPI | 1417665100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022034543) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2003006632) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-12-16 |