| NPI | 1225678501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22401) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-05-06 |