| NPI | 1528782182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 278711) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-10-17 |