| NPI | 1891351367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS 2151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 14976) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-09-06 |