| NPI | 1780303008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19505) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19505) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-02-02 |