| NPI | 1962247346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6401222908) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 6401222908) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-07-09 |