| NPI | 1851490882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH862) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-01-25 |