| NPI | 1700514932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 3123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS P-0838) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-06-24 |