| NPI | 1972085421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2023038044) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 101868) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2023-10-04 |