| NPI | 1144563933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 11632) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11632) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-02-14 |