| NPI | 1851880785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH20652) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL IMH16852) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2022-04-13 |