| NPI | 1033484878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12231) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9657) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-05-10 |