| NPI | 1780278069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18661) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2022-12-06 |