| NPI | 1306195201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL RMHCI 5397) |
| 101YP2500X Counselor, Professional (Licence: NC A11646) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-06-07 |