| NPI | 1730425778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH8681) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2013-05-14 |