| NPI | 1598142358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2018027684) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2018027684) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2023-08-28 |