| NPI | 1851741292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20089) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 13928) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-10-09 |