| NPI | 1881062123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH16546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL IMH4634) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2020-07-01 |