| NPI | 1023669322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018391) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-06-06 |