| NPI | 1699478263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH21601) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-09-01 |