| NPI | 1598364747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH16792) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-07-08 |