| NPI | 1396158218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH10598) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-12-12 |