| NPI | 1770761454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2013038389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2013038389) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2023-12-14 |