| NPI | 1790325868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10831-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7118-226) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2024-01-24 |