| NPI | 1558420513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5380) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2025-01-16 |