| NPI | 1952981573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0016694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0015024) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |