| NPI | 1922295286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2633) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-12-04 |