| NPI | 1952919573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15896) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A15896) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-03-06 |