| NPI | 1023545621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH90837) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |