| NPI | 1922873033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22725) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH22725) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |