| NPI | 1871679258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH 1363) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CT 001240) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2017-04-27 |