| NPI | 1710658356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH20862) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22174) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-05-02 |