| NPI | 1679200307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 13050004-6004) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-03-29 |