| NPI | 1942860242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 12183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GU 16938) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-07-23 |