| NPI | 1013590298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19151) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-06 |