| NPI | 1447859210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH25826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 005255) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-11-25 |