| NPI | 1801447248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 4044) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |