| NPI | 1518721687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27825) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH24663) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2026-08-10 |