| NPI | 1598102709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH14502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: NY 006599) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2016-10-12 |