| NPI | 1497108641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22122) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH17322) | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-04-27 |