| NPI | 1497197289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH9585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12224) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2017-11-08 |