| NPI | 1245686773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39004121A) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2024-09-18 |