| NPI | 1891250536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 47171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT Bbh-pclc-lic-31247) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2024-06-10 |