| NPI | 1316509292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 30220) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-07-20 |