| NPI | 1336855212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26013) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23592) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2025-06-25 |