| NPI | 1467093104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 217472) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2025-02-27 |