| NPI | 1922697200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 12923) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 105998) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2023-07-21 |