| NPI | 1952921652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21026) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH19431) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-07-13 |