| NPI | 1679208987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL IMH22658) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH22658) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |