| NPI | 1194400564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL mh23747) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22341) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-05-13 |