| NPI | 1174740286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14723) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 2157) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-11-23 |