| NPI | 1871228304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022040244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO pending) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-10-10 |