| NPI | 1770135451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2014010843) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2014010843) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2024-05-02 |