| NPI | 1467960021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 01865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 02104) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2020-10-26 |