| NPI | 1780253054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8641) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-10-07 |