| NPI | 1912462086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6549) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 36967) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-08-07 |