| NPI | 1811200975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21526) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001277) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2023-09-28 |