| NPI | 1578108577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CP5220) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012552) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-09-25 |