| NPI | 1316193253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A16559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004275) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH9173) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-07-01 |