| NPI | 1881175438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14095) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-05-11 |