| NPI | 1841864592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0019293) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 19342) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-08-29 |