| NPI | 1518674647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 11098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPCCANDIDATE11098) |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2024-10-09 |