| NPI | 1730568015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH16890) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 15581) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2019-04-08 |