| NPI | 1598277808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23544) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 23544) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-08-05 |