| NPI | 1730701186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23711) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2023-03-01 |