| NPI | 1942658109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH222434) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA 12275) |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2024-07-23 |