| NPI | 1689423832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A19998) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM CBT-2024-0341) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |