| NPI | 1497470306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 6260) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13161) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-01-06 |