| NPI | 1568469252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH4737) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL MH00004737) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2023-05-22 |