| NPI | 1386059194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ISW14401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL SW21018) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-07-07 |