| NPI | 1740955111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC5457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC14454) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |