| NPI | 1518673847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL MH21333) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-03-03 |