| NPI | 1861749541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13033) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH 10059) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-09-20 |