| NPI | 1942784459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 7452-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3586-226) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-09-20 |