| NPI | 1114457082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 17243) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16130) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |