| NPI | 1548694516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13575) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 108045) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2020-02-21 |