| NPI | 1063531739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19637) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011041049) |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-06-20 |