| NPI | 1457726176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC6435) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD ATC102) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2023-08-14 |