| NPI | 1811232283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH-13904) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2022-10-27 |