| NPI | 1720623044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 6102) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2024-03-21 |