| NPI | 1205578317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17219) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2691) |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2022-04-09 |