| NPI | 1548818008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AK 167128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 167128) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-05-11 |