| NPI | 1659971372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16031) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16031) |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-08-02 |