| NPI | 1760809115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14518) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 14518) |
| 101YM0800X Counselor, Mental Health (Licence: FL IMH11851) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-10-17 |