| NPI | 1780270165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2020041794) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2020041794) |
| 101YP2500X Counselor, Professional (Licence: MO 2020041794) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-01-11 |