| NPI | 1003428608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21288) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH21288) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-09-19 |