| NPI | 1588928857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 19390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9875) |
| Enumeration Date | 2012-07-01 |
| Last Update Date | 2023-09-28 |