| NPI | 1801277793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2015009966) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 2015009966) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2023-10-19 |