| NPI | 1457880239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 02999) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015378) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2021-06-14 |