| NPI | 1891478624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH24697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 22788) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-11-22 |