| NPI | 1598497604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH23201) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH21451) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2024-01-17 |