| NPI | 1508412321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14808) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14808) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-07-10 |