| NPI | 1942964796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2021043656) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 03848) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2024-07-15 |