| NPI | 1316327448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14530) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH12054) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-10-31 |