| NPI | 1689163768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 44014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 29865) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-05-11 |