| NPI | 1861016669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2020014769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2020014769) |
| 101YP2500X Counselor, Professional (Licence: MO 2020014769) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |