| NPI | 1770517153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 537) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-06-04 |