| NPI | 1396408803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH20182) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-02-02 |