| NPI | 1518655182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH23840) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2026-08-03 |