| NPI | 1588275630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5141) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023032943) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-09-12 |