| NPI | 1205883386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 9795) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4003) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2009-03-13 |