| NPI | 1639842172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2308009) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A2009123) |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-02-29 |