| NPI | 1992272744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR A1812166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 7623) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2023-02-27 |