| NPI | 1558988261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2019029506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 3469) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-09-19 |