| NPI | 1538272158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 7722) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 197) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-07-20 |