| NPI | 1962117333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 23466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 21201) |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2025-02-21 |