| NPI | 1164185302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 16644) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2025-05-27 |