| NPI | 1992213755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 21554) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2024-02-13 |