| NPI | 1134660251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17830) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2023-02-16 |