| NPI | 1831786086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL 19379) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 18431) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2022-06-30 |