| NPI | 1457601387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH7296) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2022-10-19 |