| NPI | 1821536335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 098859) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.013643) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2024-07-22 |