| NPI | 1750044814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0018816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0017924) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2022-10-27 |