| NPI | 1710484258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 23301) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH17069) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2024-02-12 |