| NPI | 1558945394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 20951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704011203) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-02-09 |