| NPI | 1275986028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18491) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 19075) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2024-02-28 |