| NPI | 1700496338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: 57620) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT 44028) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2024-03-08 |