| NPI | 1174807325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000069A) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-05-10 |