| NPI | 1871004374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18458) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15611) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-11-30 |