| NPI | 1891529723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2004024712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2004024712) |
| 101YP2500X Counselor, Professional (Licence: MO 2004024712) | |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |