| NPI | 1124726971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21918) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20481) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-07-22 |