| NPI | 1407388499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20554) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18200) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2024-10-08 |