| NPI | 1952941635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0013718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 421) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |