| NPI | 1285868141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13641) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-08-05 |