| NPI | 1598498834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20923) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: FL MH20923) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2024-09-27 |