| NPI | 1952990517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 16252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16252) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2024-05-16 |