| NPI | 1619018587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A11302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 11302) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-05-14 |