| NPI | 1073068797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH1569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LCPC8484) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2018-11-09 |