| NPI | 1730513144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12226) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2024-01-25 |