| NPI | 1205399698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18815) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: FL 00366590) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-01-29 |