| NPI | 1801079165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7209) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2024-08-02 |