| NPI | 1013315134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW14419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL ISW9241) |
| Enumeration Date | 2014-12-06 |
| Last Update Date | 2021-05-11 |