| NPI | 1821573825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17577) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2021-10-21 |