| NPI | 1982183513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 7767893-6009) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2020-12-03 |