| NPI | 1558825992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12768-MH-CC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15551) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-07-27 |