| NPI | 1154842532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17984) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 086753) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2022-03-24 |