| NPI | 1760057350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR P2403010) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A2105004) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-09-20 |