| NPI | 1770058281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401019057) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401016866) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-11-01 |