| NPI | 1699662452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7972) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9287951) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |