| NPI | 1467088021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CMH005973) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 005973) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |