| NPI | 1740659705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH 12033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A10009) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |