| NPI | 1962860056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MS 2259) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2022-10-11 |