| NPI | 1396173712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10760) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2023-01-26 |