| NPI | 1164892451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 2257) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 077394) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2022-08-08 |