| NPI | 1235441809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10548) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC012398) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH7183) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-09-27 |