| NPI | 1467153502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 178.017276) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.017276) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-03-16 |