| NPI | 1538984018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH-4750) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH-4750) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH-4750) | |
| 101YP2500X Counselor, Professional (Licence: FL MH-4750) | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |