| NPI | 1790298628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020030159) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2020030159) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2023-11-09 |