| NPI | 1679992176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1056) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8657) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2021-10-22 |