| NPI | 1194995829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 6610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH6610) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2019-03-03 |