| NPI | 1669103909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 2830) |
| 101YP2500X Counselor, Professional (Licence: MS 2830) | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-02-06 |