| NPI | 1285909044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12184) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2024-12-26 |