| NPI | 1467280305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A20105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-21833) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |