| NPI | 1649291477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL LMHC 11198) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA 1628) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-11-18 |