| NPI | 1245714658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19256) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16424) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-06-03 |