| NPI | 1497425151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020040586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 03799) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |