| NPI | 1467023424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH19042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19042) |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2025-02-04 |