| NPI | 1720375892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 9049) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2022-11-08 |