| NPI | 1457940959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11011661-6010) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC011602) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |