| NPI | 1467993774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7279) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2021-10-15 |