| NPI | 1851926216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21605) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19157) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2025-01-08 |