| NPI | 1275292880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18376) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-03-22 |