| NPI | 1629597877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 8300) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2024-01-12 |