| NPI | 1295119618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH12881) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2017-03-06 |