| NPI | 1669722344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12606) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL 12606) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2021-07-14 |