| NPI | 1275922106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12358) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2019-04-29 |