| NPI | 1417657313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH22833) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7375) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |