| NPI | 1760958003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A13686) |
| Enumeration Date | 2018-10-14 |
| Last Update Date | 2022-12-28 |