| NPI | 1770854812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0151671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0146491) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2023-03-24 |