| NPI | 1962864173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 074576) |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2025-01-03 |