| NPI | 1487305405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 8073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLC8073) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-31 |