| NPI | 1497380950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 005213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 4111) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-04-07 |