| NPI | 1922712041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20304) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-07-29 |