| NPI | 1982385001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2024002596) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KS 04397) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-02-08 |