| NPI | 1376999136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 7990) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2023-04-26 |