| NPI | 1609373539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NH 2293) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2024-12-17 |