| NPI | 1316117203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH12900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PR 3002) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-10-10 |