| NPI | 1245564350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006455) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2018-10-16 |