| NPI | 1871152256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 9874-123) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 12433) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-10-23 |