| NPI | 1346885324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18755) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH16074) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-04-01 |