| NPI | 1831529452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11901) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY11544) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2024-12-16 |