| NPI | 1740636158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006635) |
| 174400000X Specialist (Licence: CA LPCC2781) | |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-04-02 |