| NPI | 1346451085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 7616) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-04-22 |