| NPI | 1164891230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16403) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH13846) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2019-03-08 |