| NPI | 1669997417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18814) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH14132) |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2023-07-25 |