| NPI | 1801277579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 976943) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 076943) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-07-02 |