| NPI | 1568823235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 14349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH19960) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2021-11-19 |