| NPI | 1295163632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH #11356) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2017-04-25 |