| NPI | 1578645131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22322) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 4784) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-06-26 |