| NPI | 1790211191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6310) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2023-12-03 |