| NPI | 1952076051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16691) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-01-03 |