| NPI | 1558095133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22289) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2024-10-01 |