| NPI | 1932643426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12674) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2021-07-27 |