| NPI | 1801951447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 7399) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2025-01-30 |