| NPI | 1336961366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 100002399) |
| Enumeration Date | 2024-10-30 |
| Last Update Date | 2024-10-30 |