| NPI | 1780961128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 17024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 374) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-08-14 |