| NPI | 1255585857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10050) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH6395) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2022-05-13 |