| NPI | 1659628493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 15397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 11318) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-08-11 |
| Last Update Date | 2024-06-12 |