| NPI | 1316529209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22595) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 7048) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2024-04-10 |