| NPI | 1639703770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019037866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2019037866) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2021-04-12 |