| NPI | 1770179814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 18815) |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2022-05-13 |