| NPI | 1225683873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI684) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-12-27 |