| NPI | 1730627456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 16392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 12561) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-10-17 |