| NPI | 1295240083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17402) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 15420) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-10-17 |