| NPI | 1770284671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2023009036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008575) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |