| NPI | 1891274510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 14219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A14219) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-11-24 |