| NPI | 1245710839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 003505) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2026-03-24 |