| NPI | 1710478789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23565) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-06-15 |