| NPI | 1578261327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: PA 1600605) |
| 101YM0800X Counselor, Mental Health (Licence: PA 1600605) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-02-27 |