| NPI | 1659615680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH10643) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: FL IMH10643) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |