| NPI | 1760904890 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 7299) | 
| Enumeration Date | 2017-07-11 | 
| Last Update Date | 2022-07-21 |