| NPI | 1215087184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 8981) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL MH 8981) |
| 101YP2500X Counselor, Professional (Licence: MD LC 3928) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-04-15 |