| NPI | 1104325364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14655) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2021-07-24 |