| NPI | 1508563693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22268) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-01-02 |