| NPI | 1396782777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9464) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 17680) |
| 101YP2500X Counselor, Professional (Licence: FL MH9464) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-05-24 |