| NPI | 1871294496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0016423) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0016423) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |