| NPI | 1801552856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16967) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-03-08 |