| NPI | 1669838595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15103) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH3507) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2019-03-26 |