| NPI | 1487295010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14143) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-02-07 |