| NPI | 1740909779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2023012405) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2023012405) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-12-19 |