| NPI | 1427673987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH23386) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01579) | |
| 101YP2500X Counselor, Professional (Licence: CT 5114) | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-03-13 |