| NPI | 1942974811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC20362) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD QMHP) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2023-02-18 |