| NPI | 1982242053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 9772-123) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 131113) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2024-03-08 |