| NPI | 1659902989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 013112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 006938) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2022-09-07 |