| NPI | 1679158083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21308) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2024-07-30 |