| NPI | 1609550227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2023022616) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2023022616) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-07-10 |