| NPI | 1821229477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH9976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-06-14 |