| NPI | 1477139251 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL C3593A) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2023-03-08 |