| NPI | 1851624464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH11342) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 7618) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2019-03-29 |