| NPI | 1710334784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH14358) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16219) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2018-08-15 |