| NPI | 1033532916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 13144) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2018-10-11 |