| NPI | 1134370869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6494) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2024-04-24 |