| NPI | 1184816548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14305) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-05-17 |