| NPI | 1730315722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH2245) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 0783) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |