| NPI | 1902496268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2024007359) |
| Additional Taxonomies | 374700000X Technician |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2024-03-07 |