| NPI | 1598827024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 5901) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-10-26 |