| NPI | 1558115121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-22540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LAC-22540) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |