| NPI | 1326414459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15601) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH7191) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-03-17 |