| NPI | 1285354779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22901) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-07-11 |