| NPI | 1962468017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH13927) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY MH006537) |
| 101YP2500X Counselor Professional (Licence: IL 180006683) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2019-01-19 |