| NPI | 1942876743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A16562) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16562) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |