| NPI | 1629545181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2451) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 122869) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-06-18 |