| NPI | 1790155810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 3060) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2024-07-05 |