| NPI | 1275056061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16640) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15460) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |