| NPI | 1477103133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39003520A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 2546) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-05-02 |