| NPI | 1841736899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12709) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12709) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-02-19 |