| NPI | 1992404594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: 7830) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA PLC7830) |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-07-10 |