| NPI | 1659025583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH22160) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH19941) |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-05-04 |