| NPI | 1326572462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16050) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0014702) |
| 101YP2500X Counselor, Professional (Licence: CO LPP.0001417) | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2018-06-14 |