| NPI | 1598101636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14352) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2019-01-02 |