| NPI | 1578320214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH22356) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2026-05-18 |