| NPI | 1457063091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2023025307) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04207) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-07-14 |