| NPI | 1710255245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL LMHC-11163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 11163) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2015-06-08 |