| NPI | 1679076863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 6791) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2021-08-27 |