| NPI | 1851868756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18729) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH17570) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2021-02-17 |