| NPI | 1891927414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC003689) |
| Enumeration Date | 2009-08-15 |
| Last Update Date | 2016-12-20 |