| NPI | 1770936668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2741) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2916) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2022-04-13 |