| NPI | 1487264099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 62864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 43595) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-05-16 |