| NPI | 1952000325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH23340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMT3810) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |