| NPI | 1710449046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 9540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14747) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-03-04 |