| NPI | 1992341283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015026281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KS 2940) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2022-04-26 |