| NPI | 1841881604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17203) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MT3692) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-05 |