| NPI | 1699062778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH9062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 12301) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-02-23 |