| NPI | 1730569823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10855) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 4603) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-02-12 |