| NPI | 1780164202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 14129) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14129) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2022-11-22 |